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Application Form for Merchandise Exports from India Scheme (MEIS)

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..... v Email ID Part B 2. Application Details: (i) Export Licensing Year (pl. specify the year in which export has been made, based on Let export date (Para 9.12 of HBP): (ii) Date of filing of Application: (iii) Port of Export for this Application: Note: Applicant to select/feed the details of one shipping bill at a time .A maximum of 50 shipping bills can be filed in one application 3. Details of Export : Shipping Bill Details and Other details Sl.No. Shipping Bill/Airway Bill Number Date of Shipping Bill/Airway Bill Port Code Let export date ITC (HS) code Product Description as per Sipping Bill Country Name and Relevant Sl No. of Appendix 3B( Part 1) Product Sl No. of Appendix 3B (Part 2) Realized FOB value of Exports or FOB value as given in S/B, whichever is less (in free foreign exchange) Date of realization Date of realization .....

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..... oprietor / Karta / Trustee in any other Company/ firm / entity which is on the Denied Entity List (DEL) of DGFT ; C.neither the Registered Office of the company / Head Office of the firm / nor any of its Branch Office(s)/ Unit(s)/ Division(s) has been declared a defaulter and has otherwise been made ineligible for undertaking import / export under any of the provisions of the Policy; 2 I/We undertake to abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, as amended from time to time, the Rules and Orders framed there under, the Foreign Trade Policy, the Handbook of Procedures 3. I/We hereby certify that that particulars and statements made in this application are true and correct and nothing has been concealed or held there from. I/We fully understand that any information furnished in the application if found incorrect or false will render me/us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted. 4 I hereby certify that I am authorized to verify and sign this declaration as per Par .....

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..... o. Country Code ----- Area Code ------ Phone number -- -- Fax No. -- -- Email Place: Date: ] ---------------------- Notes:- 1. Substituted vide Public Notice No. 13/2015-2020, dated 27-05-2016 , before it was read as : ANF -3A Application Form for Merchandise Exports from India Scheme (MEIS) (Kindly read Paras 3.03 to 3.06 of FTP and Para 3.01 to 3.03 of HBP and other common procedural featu .....

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..... 7) (8) (9) (10) (11) (12) Exchange Rate FOB in Rs.ie 10x13 Rate of Entitlement as per Appendix 3B (Part 2) (%) Entitlement Amount (in Rs.) Late Cut % if any Late cut Amount(in Rs.) Entitlement after Late Cut (in Rs.) (13) (14) (15) (16) (17) 18 19 (16) = (14) X(15) 18=(16X17 19=16-18 4. Number of Split Certificates required (in multiples of ₹ 5 lakhs each): 5. Port of Registration for the purpose of imports.(The port of registration shall be the port from which exports have taken place) 6. DECLARATION / .....

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..... I hereby declare that no benefit under MEIS, was availed (or applied for) previously against Shipping Bills currently included in this application. 6 I hereby declare that in terms of Para 3.17 of FTP, this application does not contain any exports in contravention to this provision. I further declare that these goods have actually been exported out of India 7. I hereby declare that the Exported Product/goods and markets are covered under Appendix 3B and the exports, for which this application is being filed, are made on or after the respective admissible date of export, as indicated in relevant Appendix 8 I hereby declare that export product for which the duty credit scrip reward is being claimed does not contain any product which is listed as ineligible export categories / sectors in per Para 3.06 of FTP. 9 I fully understand that RA or any other agency, at any time, may ask me to provide documents on the basis of which rew .....

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